Jose C Costa, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

25MA08477200 Issued in NJ

Practice address

465 Cranbury Rd
Suite 102
East Brunswick, NJ 08816-7600

Phone

(732) 390-1995

Fax

(732) 254-4610

NPI assigned

Nov 20, 2007

Last updated

Sep 23, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Gastroenterology

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians

Digestive Health and Nutrition Center, LLCGroup PAC ID 0648267963, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GGIGDD/Endpoint/GGIGDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Digestive Health and Nutrition Center, LLC

  • Gastroenterology Physician
  • East Brunswick, NJ
  • NPI 1669521126
  Medicare reassignment Care Compare group NPD
• The Radiology Group of New Jersey, LLC

  dba The Medical Group of New Jersey

  • Multi-Specialty Clinic/Center
  • Hackettstown, NJ
  • NPI 1174010540
  Medicare reassignment Care Compare group NPD
• United Clinical Group NJ

  • Family Medicine Physician
  • Far Hills, NJ
  • NPI 1831801083

  Internal Medicine

  Medicare reassignment NPD
• The Collaborative Healthcare Group of NJ

  • Internal Medicine Physician
  • North Brunswick, NJ
  • NPI 1275356560
  NPD
• Monmouth Digestive Health LLC

  • Gastroenterology Physician
  • Eatontown, NJ
  • NPI 1831721232
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1043491830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 INDEPENDENCE DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163227",
            "telephone_number": "732-609-3041",
            "fax_number": "732-254-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 CRANBURY RD",
            "address_2": "SUITE 102",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088167600",
            "telephone_number": "732-390-1995",
            "fax_number": "732-254-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "JOSE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-20",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA08477200",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08477200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornwall Polyclinic, L.L.C.
• Corrective Care Group PC
• Melissa Cortes, RN
• Diana Corticeiro
• Cosmetic Dentistry and Implants
• Sandra Costandy
• Jerry Couch, RPH
• Counseling for the Ages
• County of Middlesex (Middlesex County Public Health)
• Joana Matilde Couto, LAC

• Gastroenterology Physician in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Gastroenterology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.